<table class="checkout_table"> 
	<tbody> 
		<tr> 
			<td width="40%"> 
				<h3 class="__" lang-context="core">Delivery Details</h3> 
					<table class="shoppingcartCheckout"> 
						<tbody> 
							<tr> 
								<td style="width: 20%;" class="cellHeader" colspan="1">Name</td>
								<td colspan="1">
									<input id="FirstName" name="FirstName" required="required" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Surname</td> 
								<td colspan="1">
									<input id="Surname" name="Surname" required="required" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Phone</td>
								<td colspan="1">
									<input id="Phone" name="Phone" required="required" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Email</td>
								<td colspan="1">
									<input id="Email" name="Email" type="email" required="required" class="email text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Street</td> 
								<td colspan="1"><input id="Street" name="Street" class="text" />
							</td> 
						</tr> 
						<tr>
							<td class="cellHeader" colspan="1">Street 2</td> 
							<td colspan="1">
								<input id="Street2" name="Street2" class="text" />
							</td> 
						</tr> 
						<tr> 
							<td class="cellHeader">Town</td> 
							<td colspan="1">
								<input id="Town" name="Town" class="text" />
							</td> 
						</tr> 
						<tr>
							<td class="cellHeader">County</td> 
							<td colspan="1">
								<input id="County" name="County" class="text" />
							</td> 
						</tr> 
						<tr> 
							<td class="cellHeader">Country</td> 
							<td colspan="1">
								<div class="countries-list">
									{{ONLINESTORE_COUNTRIES}}
								</div>
							</td> 
						</tr> 
					</tbody> 
				</table> 
			</td> 
			<td width="60%" id="sc_paymentCell"> 
				<h3>Payment Details</h3> 
				{{ONLINESTORE_PAYMENT_TYPES}}
				<div id="payment_method_form">&nbsp;</div> 
				{{ONLINESTORE_VOUCHER}}<br />
				Click here if Billing address is different to Delivery: 
				<input type="checkbox" name="BillingAddressIsDifferentToDelivery" onclick="document.getElementById('billing_address').style.display=(this.checked)?'block':'none'" /> 
				<div style="display: none;" id="billing_address"> 
					<table class="shoppingcartCheckout_billing"> 
						<tbody> 
							<tr> 
								<td style="width: 20%;" class="cellHeader" colspan="1">
									Name
								</td> 
								<td colspan="1">
									<input id="Billing_FirstName" name="Billing_FirstName" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Surname</td> 
								<td colspan="1">
									<input id="Billing_Surname" name="Billing_Surname" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Phone</td> 
								<td colspan="1">
									<input id="Billing_Phone" name="Billing_Phone" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Email</td> 
								<td colspan="1">
									<input id="Billing_Email" name="Billing_Email" type="email" class="email text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Street</td> 
								<td colspan="1">
									<input id="Billing_Street" name="Billing_Street" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader" colspan="1">Street 2</td> 
								<td colspan="1">
									<input id="Billing_Street2" name="Billing_Street2" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader">Town</td> 
								<td colspan="1">
									<input id="Billing_Town" name="Billing_Town" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader">County</td> 
								<td colspan="1">
									<input id="Billing_County" name="Billing_County" class="text" />
								</td> 
							</tr> 
							<tr> 
								<td class="cellHeader">Country</td> <td colspan="1">
									<div class="countries-list">
										{{ONLINESTORE_COUNTRIES prefix="Billing_"}}
									</div>
								</td> 
							</tr> 
						</tbody> 
					</table> 
				</div> 
			</td> 
		</tr> 
	</tbody> 
</table>
